Provider Demographics
NPI:1699554386
Name:ONE BRIDGE TO HOPE
Entity type:Organization
Organization Name:ONE BRIDGE TO HOPE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ASSISTANT DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:REBECCA
Authorized Official - Middle Name:A
Authorized Official - Last Name:BISHOP
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:270-405-3288
Mailing Address - Street 1:PO BOX 247
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:KY
Mailing Address - Zip Code:40069-0247
Mailing Address - Country:US
Mailing Address - Phone:859-841-6091
Mailing Address - Fax:859-481-6130
Practice Address - Street 1:2655 BARDSTOWN RD.
Practice Address - Street 2:
Practice Address - City:ST. CATHARINE
Practice Address - State:KY
Practice Address - Zip Code:40061-0000
Practice Address - Country:US
Practice Address - Phone:859-841-6091
Practice Address - Fax:859-481-6130
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-22
Last Update Date:2023-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty